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What the World Bank Group is doing As an institution, the Bank has long been committed to tobacco control as reflected in its unambiguous Operational Directive 4.76 of 1999 that mandates that the World Bank Group does not lend directly or provide credits, grants, or guarantees for tobacco production, processing, or marketing

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With regard to the comment requesting that caps on maximum changes to an MS-DRG's relative weight apply to increases as well, as discussed in the IPPS/LTCH PPS proposed rule, our goal in smoothing year-to-year changes in the relative weights is to mitigate financial impacts associated with significant declines in an MS-DRG's relative weight and allow hospitals more time to adjust to such changes by phasing-in these declines